DEPARTMENT OF INSURANCE

Affiliations

Name	Burner, Christopher Richard	DOIID	655596	NAIC NPN	7974078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/17/2007	9/30/2013
Inactive	Non Resident	Agent	Life	5/17/2007	9/30/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/14/2009	9/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/14/2009	9/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/14/2009	9/30/2013
Inactive	American General Life Insurance Company	301585	Agent - Health	5/18/2007	3/11/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	5/18/2007	3/11/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/20/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/19/2010	9/13/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/19/2010	9/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/5/2009	9/30/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/5/2009	9/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	7/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/13/2007	7/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/13/2007	7/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/5/2007	7/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/5/2007	7/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/5/2007	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/5/2007	2/23/2012
Inactive	Time Insurance Company	300683	Agent - Health	5/30/2007	11/9/2012
Inactive	Time Insurance Company	300683	Agent - Life	5/30/2007	11/9/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/22/2010	11/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/22/2010	11/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	5/18/2007	9/30/2013
Inactive	HBDC II, Inc	641352	Agent - Life	5/18/2007	9/30/2013